BOARD OF MEDICOLEGAL INVESTIGATIONS OFFICE USE ONLY
OFFICE OF THE CHIEF MEDICAL EXAMINER Re Co
I hereby certify that this is a true
Central Office Eastern Division and correct copy of the original
901 N. Stonewall 1115 West 17th document. Valid only when copy
Oklahoma City, Oklahoma 73117 Tulsa, Oklahoma 74107 bears imprint of the office seal.
(405) 239-7141 Fax (405) 239-2430 (918) 582-0985 Fax (918) 585-1549
REPORT OF INVESTIGATION BY MEDICAL EXAMINER
DECEDENT First-Middle-Last Names (Please avoid use of initials) Age Birth Date Race Sex
SETH AANON ADKINS 2 7/30/2003 WHITE M
HOME ADDRESS - No. - Street, City, State
COUNTY STREE 2450, CARNEGIE, OK
EXAMINER NOTIFIED BY - NAME - TITLE (AGENCY, INSTITUTION, OR ADDRESS) DATE TIME
DEP. STALLINGS CADDO COUNTY SO 6/23/2006 22:59
INJURED OR BECAME ILL AT (ADDRESS) CITY COUNTY TYPE OF PREMISES DATE TIME
.1 MILE NORTH OF CR 1350 ON CS 2450 CARNEGIE CADDO FARM POND 6/23/2006
LOCATION OF DEATH CITY COUNTY TYPE OF PREMISES DATE TIME
CARNEGIE HOSPITAL CARNEGIE CADDO HOSPITAL 6/23/2006 22:53
BODY VIEWED BY MEDICAL EXAMINER CITY COUNTY TYPE OF PREMISES DATE TIME
901 N. STONEWALL OKLAHOMA CITY OKLAHOMA MORGUE 6/24/2006 10:30
IF MOTOR VEHICLE ACCIDENT: DRIVER PASSENGER PEDESTRIAN
TYPE OF VEHICLE: AUTOMOBILE LIGHT TRUCK HEAVY TRUCK BICYCLE MOTORCYCLE OTHER:
DESCRIPTION OF BODY RIGOR LIVOR EXTERNAL OBSERVATION NOSE MOUTH EARS
Jaw Complete Color Beard Hair BLOOD
PHYSICAL Neck Absent Lateral Eyes: Color Mustache OTHER
EXAMINATION Arms Passing Posterior
Legs Passed Anterior Pupils: R L
Decomposed Regional Body Length Body Weight
Significant observations and injury documentations - (Please use space below)
SEE AUTOPSY PROTOCOL
Probable Cause of Death: Manner of Death: Case disposition:
DROWNING Autopsy Yes No
Authorized by MEDICAL EXAMINER
Pathologist INAS YACOUB M.D.
Not a medical examiner case
Other Significant Medical Conditions:
I hereby state that, after receiving notice of the death described herein, I
conducted an investigation as to the cause and manner of death, as required by
Name, Address and Telephone No.
law, and that the facts contained herein regarding such death are true and correct
INAS YACOUB M.D. to the best of my knowledge.
901 N. STONEWALL
OKLAHOMA CITY, OK 73117 6/24/2006
Signature of Medical Examiner INAS YACOUB M.D. Date
Computer generated report 0601362
CME-1 (REV 7-98)
I hereby certify that this document is a
Board of Medicolegal Investigations true and correct copy of the original
Office of the Chief Medical Examiner document. Valid only when copy
bears imprint of the office seal.
901 N. Stonewall
Oklahoma City, Oklahoma 73117
(405) 239-7141 Voice
(405) 239-2430 Fax
REPORT OF AUTOPSY
Decedent Age Birth Date Race Sex Autopsy No Case No
SETH AANON ADKINS 2 7/30/2003 WH M 528-06 0601362
Type of Death Means ID By Authority for Autopsy
Violent, unusual or unnatural DROWNING TOE TAG INAS YACOUB, M.D.
Present at Autopsy
I. Pulmonary congestion and edema, status-post attempted resuscitation, history of being found in a farm pond
Comment: This 2 year old was in the care of his father when he was noted missing around 2020 hours while his father was
unloading a vehicle. The father later found the decedent floating in the pond. He pulled him out, put him in a truck and
drove him to the hospital. Upon arriving to the emergency room at 2205, the decedent’s core temperature was reportedly
83° degrees. Resuscitation attempts were unsuccessful and he was pronounced dead at 2253 hours. The toddler was
thought to be “autistic” but reportedly was not taking any medications. He had no known seizure disorders. A complete
autopsy was performed and revealed the above findings. “Washer woman” change (skin wrinkling) was not apparent. The
petrous bones did not appear congested and he was not clenching on any foreign material. It is my opinion that the
probable cause of death is drowning. The manner of death is best classified as an accident.
CAUSE OF DEATH: DROWNING
The facts stated herein are true and correct to the best of my knowledge and belief.
OCME Central Division 6/24/2006 10:30 AM
INAS YACOUB, M.D. Pathologist Location of Autopsy Date and Time of Autopsy
CME-2 Page 1
AUTOPSY NO. ML 528-06 CASE NO. 0601362
Height Weight Eyes Pupils Opacities, Etc. Hair Beard Mustache Circumcised
38 in. 15 kg. GREEN-BLUE R 9 mm L 9 mm BLOND Y
RIGOR (jaw, neck, back, legs, arm, chest, abd., complete) LIVOR (color, anterior, posterior, lateral, regional) Body Heat
FULL PURPLE-POSTERIOR COOL
DESCRIPTION OF CLOTHING:
The decedent is received unclothed.
The body is that of a well developed male who appears consistent with the reported age of 2 years.
Examination of the decedent’s head reveals no conjunctival petechiae and no petechiae on the face. No
blood is observed in the nose, mouth or ear canals. Examination of the nose does not reveal remarkable
findings. Examination of the mouth reveals natural teeth, intact frenula, an oral tracheal tube in place and
no injury to the lips or gums. Examination of the head does not otherwise reveal remarkable findings
except for lividity on the right side of the head.
Examination of the neck does not reveal remarkable findings. Notably, no masses or scars or curvilinear
abrasions are noted.
Examination of the chest and abdomen reveals cardioversion marks on the chest. Examination of the
genitalia does not reveal remarkable findings.
Examination of the lower extremities reveals an identification tag on the left foot and an intraosseous
needle in the front of the right leg.
Examination of the upper extremities reveals a needle puncture site in each antecubital fossa and on the
back of the left hand. “Washer woman” change is not noted.
Examination of the back does not reveal remarkable findings.
AUTOPSY NO. ML 528-06 CASE NO. 0601362
The body is examined through the customary “Y” shaped incision. No contusions are observed in the skin
and panniculus of the anterior and lateral aspect of the chest and abdomen. The 1.5 cm subcutaneous fat is
pale, cream yellow, normally distributed and moist. The musculature through the chest and abdomen is
rubbery, maroon, and grossly unremarkable. The sternum is examined in the usual fashion. The organs of
the chest and abdomen are in the normal position and relationship and appear dusky. The liver edge is
just below the right costal margin at the midclavicular line. The diaphragm is intact bilaterally. The lining
of the pericardium, parietal pleura, and peritoneum is smooth and glistening. No adhesions or abnormal
accumulations of fluid are noted in the pericardial, pleural or peritoneal cavities.
The skin and the panniculus of the anterior and lateral aspects of the neck are examined after the heart is
grossly examined. No contusions of these areas are noted. The maroon rubbery muscles of the anterior
and lateral aspects of the neck are examined. No contusions are observed in these muscles. The neck
structures are in the midline and are freely movable. The tongue is intact, normally papillated, and
without evidence of tumor or contusion or bite marks. The hyoid bone, cricoid and thyroid cartilages are
intact and without abnormality. The epiglottis is plate-like with no evidence of edema, trauma, or other
gross pathology except for the presence of a few petechiae and abundant frothy edema fluid in the lumen
of the airway. The 2 gm red-brown thyroid gland is symmetrical and has no gross lesions. The vocal
cords, folds, and respiratory lining in the larynx are unremarkable except for the presence of a few
petechiae and abundant red tinged frothy edema fluid in the lumen of the airway. No other material is
observed in the airways. There are no petechiae of the epiglottis, laryngeal mucosa, or thyroid capsule.
Weighs 36 gm. It has a lobulated dusky pink parenchyma and is otherwise unremarkable.
The heart weighs 84 gm. The epicardial surfaces are smooth and glistening. The heart has the normal
configuration and location. The coronary vessels arise and distribute normally. The coronary ostia are
normally located and widely patent. The right ventricle appears dilated. The chambers and atrial
appendages are otherwise unremarkable. The valves are normally formed and measure as follows:
tricuspid = 7.0 cm, pulmonary = 4.5 cm, mitral = 5.5 cm, and aortic = 3.7 cm. The endocardium is
smooth, gray and glistening. The myocardium is maroon with no areas of hemorrhage, masses or
discoloration. The right ventricle measures 0.4 cm; the left ventricle measures 1.2 cm; the interventricular
septum measures 1.1 cm. The papillary muscles and chordae tendineae are intact and unremarkable. The
major vessels arising from the heart arise in the usual fashion. No thromboemboli are observed in the
main pulmonary artery. The major vessels arising from the aorta arise in the usual fashion and their
orifices are not narrowed. The aorta (arch, thoracic and abdominal) is unremarkable. The inferior vena
cava is unremarkable.
Gross - 2 Case No. 0601362
The right lung weighs 184 gm, and the left weighs 125 gm. The visceral pleurae are smooth, glistening,
and intact with no apparent anthracosis or bleb formation. The trachea, bronchi and bronchioles have a
smooth pink lining with rare petechiae on the mucosa and abundant red tinged frothy edema fluid in the
lumen. The pulmonary arterial tree is free of emboli or thrombi. The parenchyma is boggy, spongy and
varies from pink to dark red, and exudes abundant amounts of red tinged frothy edema fluid from its cut
surfaces. There is no evidence of trauma, granulomatous, or neoplastic disease. The hilar lymph nodes
are unremarkable in size, color, and consistency.
The esophagus has a smooth mucosa and no gross lesions. It contains a trace of light brown food in the
distal esophagus. The gastroesophageal junction is unremarkable. The stomach is of normal
configuration, is lined by an intact mucosa that does not appear dusky, has an unremarkable wall and
serosa, and contains approximately 60 cc of brown viscid food that appears mud-like. The duodenum is
patent, shows an unremarkable slightly dusky mucosa and no evidence of acute or chronic ulceration. The
jejunum and ileum are dusky and contain green-brown viscid fluid. The small intestines are otherwise
unremarkable. There is no Meckel’s diverticulum. The ileocecal valve is intact and unremarkable. The
appendix is unremarkable. The colon is examined segmentally and shows no evidence of diverticulitis,
neoplasm or trauma. The large intestine contains green-brown semi-formed stools. The anus and rectum
LIVER AND GALLBLADDER:
The 645 gm liver has an intact capsule and a red-brown parenchyma with no gross lesions. The
gallbladder has a smooth serosa, velvet green mucosa and no stones or gross lesions.
SPLEEN AND LYMPH NODES:
The 92 gm spleen has an intact capsule and a dark red parenchyma with gray follicles and no gross
lesions. The lymph nodes do not appear enlarged.
The 39 gm pancreas has a lobulated tan-pink parenchyma with otherwise no gross lesions. No areas of
hemorrhage, fibrosis, fat necrosis, masses or obstruction to the pancreatic duct are noted.
Lie in their usual location, have a combined weight of 5 gm, have yellow cortices, tan to gray medullae
and no gross lesions.
The right and the left kidney weigh 43 gm and 52 gm, respectively. Both are configurated normally with
no gross abnormality. The surfaces are lobulated and smooth. The parenchyma is red-brown. The cortices,
medulla, calyces, pelves, ureters and urinary bladder are unremarkable. The urinary bladder contains
approximately 3 cc of slightly cloudy, yellow urine. The prostate is symmetric, rubbery, gray tan and
unremarkable. The prostatic urethra is unremarkable. The testes are bilaterally present and show no
evidence of tumor, trauma, or inflammation. The investing membranes are unremarkable, as is the
Gross - 3 Case No. 0601362
BRAIN AND MENINGES:
The scalp is reflected through the customary intermastoid incision and shows no areas of hemorrhage.
The calvarium is removed through the use of an oscillating saw and is intact without evidence of fractures
or osseous disease. No areas of epidural or subdural hemorrhage are present. The leptomeninges are
smooth and glistening. The brain weighs 1420 gm. The gyri appear swollen and there is a tendency
toward obliteration of the sulci. The cranial nerves and circle of Willis are unremarkable. Multiple
sections of the cerebral hemispheres, midbrain, pons, medulla, and cerebellum do not reveal remarkable
findings except for brain swelling, dusky discoloration and softness of the parenchyma. The ventricular
system is symmetric and unremarkable. The dura is examined. No base of the skull fractures is present.
The petrous bones do not appear congested.
Moist and dark red. Unremarkable.
AUTOPSY NO. ML 528-06 CASE NO. 0601362
Microscopic exam is not deemed necessary and tissue is stored in formalin only.
July 18, 2006
IZY/ns INAS YACOUB, M.D.
OFFICE USE ONLY
BOARD OF MEDICOLEGAL INVESTIGATIONS
Re. _____ Co. _____
OFFICE OF THE CHIEF MEDICAL EXAMINER
I hereby certify that this is a true
901 N.Stonewall and correct copy of the original
Oklahoma City, Oklahoma 73117 document. Valid only when copy
bear im-print by the office seal.
REPORT OF LABORATORY ANALYSIS By ______________________
ME CASE NUMBER: 0601362 LABORATORY NUMBER: 062014
DECEDENT'S NAME: SETH AANON ADKINS DATE RECEIVED: 6/26/2006
MATERIAL SUBMITTE BLOOD, VITREOUS, URINE, LIVER, BRAIN, HOLD STATUS: 1 YEAR
SUBMITTED BY: INAS YACOUB M.D. MEDICAL EXAMINER: INAS YACOUB M.D.
Blood: NEGATIVE (HEART)
NO OTHER TESTS PERFORMED
DATE BYRON CURTIS, Ph.D., Deputy Chief Forensic Toxicologist